Examination of interoception along the suicidality continuum

Rogers, Megan L.; Hagan, Christopher R.; Joiner, Thomas E.

doi:10.1002/jclp.22564

Cited by 54 publications

(51 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For researchers, distilling particular elements shared between autism and other conditions associated with NSSI would be valuable. Poor interoceptive awareness, for instance, is shared by people with eating disorders [110], autistic people [111], and self-harmers and people who report suicide ideation or attempts [112]. In this study, suicide-attempters were less likely to ignore or distract themselves from painful sensations and were less able to regulate distress by paying attention to bodily sensations [112].…”

Section: Limitations and Directions For Future Studymentioning

confidence: 59%

“…Poor interoceptive awareness, for instance, is shared by people with eating disorders [110], autistic people [111], and self-harmers and people who report suicide ideation or attempts [112]. In this study, suicide-attempters were less likely to ignore or distract themselves from painful sensations and were less able to regulate distress by paying attention to bodily sensations [112]. Interoceptive "disconnect" with the experience of pain would, theoretically, make self-harmers capable of severely hurting the body much as an object; that they exhibit both higher tolerance for pain and decreased fear of pain is consistent with the central role that both play in acquired capability for suicide [113].…”

Section: Limitations and Directions For Future Studymentioning

confidence: 99%

See 1 more Smart Citation

Links between self-injury and suicidality in autism

et al. 2020

View full text Add to dashboard Cite

Background: Autistic individuals without intellectual disability are at heightened risk of self-injury, and appear to engage in it for similar reasons as non-autistic people. A wide divergence of autistic perspectives on self-injury, including those who frame it as a helpful coping mechanism, motivate investigating the link between self-injury, suicide ideation, and attempts which has been reported in typically developing individuals. Method: One hundred three autistic participants completed the Non-Suicidal Self-Injury Assessment Tool (NSSI-AT), the Suicide Behaviors Questionnaire (SBQ-R), and the Interpersonal Social Evaluation List (ISEL-12) across two online studies. Logistic regression was conducted to predict self-harming status via responses to questions on suicidality, and to predict whether certain self-injurious behaviors, including cutting, were especially associated with suicide ideation and attempts. Non-parametric correlation analysis examined relationships between suicide ideation/ attempts and other variables that might characterize self-harmers especially at risk of suicidality. These included perceived access to social support, purposes or reasons for self-injury, the number of different self-injurious behaviors engaged in, the duration and lifetime incidence of self-injury, and the individual's feelings about their self-injury. Results: While self-injuring status was significantly predicted by responses to a question on suicide ideation and attempts, there was no relationship between suicide ideation/attempts and a participant's personal feelings about their self-injury. The method of cutting was also predicted by suicide ideation and attempts, though other methods common in autistic people were at borderline significance. Use of self-injury for the regulation of low-energy emotional states like depression, for self-punishment or deterrence from suicide, and for sensory stimulation, was associated with suicide ideation and attempts, as was the number of self-injurious behaviors engaged in. There was no significant relationship between suicide ideation/attempts and the duration and lifetime incidence of self-injury or social support. Conclusions: These preliminary data suggest that while individuals might frame their self-injury as a positive or neutral thing, there remains a concerning relationship between self-injury and suicidality which exists regardless of individual feelings on self-injury. This is consistent with the theoretical perspective that self-injury can be a "gateway" through which individuals acquire capability for lethal suicidal behaviors. The data highlight that particular methods (cutting) and reasons for self-injury may be of significant concern, but this information, which might be of extreme value for clinicians, requires further investigation and validation.

show abstract

Section: Limitations and Directions For Future Studymentioning

confidence: 59%

Section: Limitations and Directions For Future Studymentioning

confidence: 99%

Links between self-injury and suicidality in autism

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Currently, few self‐report measures with strong psychometric properties exist. Although the MAIA appears to be the most comprehensive, some subscales have not demonstrated good reliability (Mehling et al, ), and not all subscales relate to SITBs (Rogers, Hagan, & Joiner, ). Additionally, self‐report measures are prone to their own limitations, which could be exacerbated among individuals who have trouble perceiving their physiological sensations.…”

Section: Discussionmentioning

confidence: 99%

Interoceptive deficits differentiate suicide groups and associate with self‐injurious thoughts and behaviors in a military sample

Smith

Dodd

Ortiz

et al. 2019

Suicide & Life Threat Behav

View full text Add to dashboard Cite

Objective Previous research shows that interoceptive deficits are associated with harmful behaviors such as nonsuicidal self‐injury (NSSI), eating disorder pathology, and suicide attempts. The present study replicates and extends this area of research by examining the association between interoceptive deficits and suicidality in a military sample. Method In Study 1, respondents to an online survey (N = 134) answered self‐report questionnaires related to interoceptive deficits. Study 2 consisted of a secondary data analysis of 3,764 military service members who had previously completed questionnaires on interoceptive indicators, NSSI, suicide thoughts and attempts, and other psychopathology. Results Study 1 demonstrated that our interoceptive deficits latent variable had adequate psychometric properties. In Study 2, multigroup confirmatory factor analysis showed that scores on the interoceptive deficits latent variable were highest among suicide attempters, lowest among those with no suicide history, and intermediary among participants who had thought about but not attempted suicide. The interoceptive deficits latent variable was more strongly related to NSSI and suicidality than were posttraumatic stress disorder symptoms, hopelessness, gender, and age. Conclusions These results confirm—and extend to a military sample—previous research showing that interoceptive deficits can provide important information about suicide risk.

show abstract

“…Forcano et al [16] reported that women with bulimia nervosa who had attempted suicide had yet greater interoceptive sensibility deficits than those who had not attempted. A more recent study [17] reported that people with lifetime suicide attempts tend to distract themselves from bodily sensations, and those with lifetime suicide ideation reported increased worry about bodily sensations. There was a lack of trust of bodily sensations for participants across the suicidal continuum.…”

Section: Introductionmentioning

confidence: 98%

Where is an emotion? Using targeted visceroception as a method of improving emotion regulation in healthy participants to inform suicide prevention initiatives: a randomised controlled trial

Davey

Bell

Halberstadt

et al. 2020

Trials

View full text Add to dashboard Cite

Background: William James' 1884 paper "What is an emotion?" has generated much recent interest in affective science regarding somatic contributions to emotion. Studies of interoception ("sensing the physiological condition of the body") suggest that sensing specific parts of the body contributes to the production of emotion, namely when sensing the viscera (i.e. "visceroception" of the heart, gut or lungs). Improved visceroception has, for instance, been linked to increased emotional intensity, suggesting a role for interoception in emotion regulation that may pertain specifically to visceral bodily locations. Thus, in addition to asking James' question, "What is an emotion?", we ask, "Where is an emotion?". Further, there is an evidence base pointing to the connections between emotion regulation and suicide, and between interoception and suicide. This is a preliminary trial investigating whether targeted interoception/visceroception improves emotion regulation. Ultimately, the overall project aims to inform suicide prevention efforts. Methods: The trial utilises a pre-test/post-test control group design, with two experimental groups undergoing visceroceptive interventions (focussing on areas pertaining to the gut or heart) and a control group. The interventions will run for 8 weeks. A spatial cueing task will measure reaction times to bodily changes relating to lower abdomen or chest focus. A stop/signal task will measure emotional inhibition, which is hypothesised to obscure awareness of active bodily locations. Visceroceptive ability will be tracked using a heartbeat estimation task, a water load test, and by self-report questionnaire. The sample will consist of healthcare professionals and healthcare students. Despite these being groups that represent a relatively high suicide risk among professional and student groups, all participants will be healthy, given the preliminary nature of this trial.

show abstract

Examination of interoception along the suicidality continuum

Abstract: These findings suggest that interoception may be impaired in those with a history of suicidal thoughts and behaviors. Longitudinal designs are needed to parse apart the interplay of these variables and directionality of these relationships.

Cited by 54 publications

References 73 publications

Links between self-injury and suicidality in autism

Links between self-injury and suicidality in autism

Interoceptive deficits differentiate suicide groups and associate with self‐injurious thoughts and behaviors in a military sample

Where is an emotion? Using targeted visceroception as a method of improving emotion regulation in healthy participants to inform suicide prevention initiatives: a randomised controlled trial

Contact Info

Product

Resources

About